[Direct cost of traumatic brain management in Hospital of Ségou Mali: What funding for care management in Mali?]

Autor: Beye SA; Centre hospitalier Nianankoro Fomba Ségou Mali., Diango MD; Centre hospitalo universitaire Gabriel Touré Bamako Mali., Touré MK; Centre hospitalier mère et enfant « Luxembourg » Bamako Mali., Diop MT; Centre hospitalo universitaire Gabriel Touré Bamako Mali., Coulibaly M; Centre hospitalier Nianankoro Fomba Ségou Mali., Diallo M; Centre hospitalier Nianankoro Fomba Ségou Mali., Traoré A; Centre hospitalier Nianankoro Fomba Ségou Mali., Coulibaly Y; Centre Hospitalo universitaire Point G Bamako Mali.
Jazyk: francouzština
Zdroj: Le Mali medical [Mali Med] 2015; Vol. 30 (3), pp. 29-33.
Abstrakt: Traumatic Brain Injury (TBI) is the second cause of admission in the emergency department at the Nianankoro Fomba hospital of Ségou. Young adults with low income are the most affected. The objective of this study is to evaluate the direct cost of the management of TBI at the emergency ward and to make a proposal for future financing of this management in Mali. We conducted a prospective study from September 2009 to December 2010 at the Nianankoro Fomba hospital of Ségou. All patients admitted in the emergency ward for TBI for more than 24 hours were included. The age range between 21-40 was the most affected. All socioprofessional categories were affected. The average cost of prescription was 55,392 CFA. Medical evacuation was necessary in 15 cases for an average fee of 60,700 CFA. Due to lack of money, 75% of deceased patients were not evacuated at the third level. The average cost of management was 99,385 CFA [range: 39,115-282,944]. The total cost of services was 7,269,320 CFA. The high cost of the management of TBI is a major determinant of morbidity and mortality of this disease.
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Databáze: MEDLINE
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